Requisition No: 852003
Agency: Agency for Health Care Administration
Working Title: 68024095 - GOVERNMENT ANALYST I
Pay Plan: Career Service
Position Number: 68024095
Salary: $1,598.52 - $1,901.79 Biweekly
Posting Closing Date: 05/02/2025
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Agency Overview:
The Agency for Health Care Administration (AHCA) is Florida's chief health policy and planning entity.
The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, and empowering consumers through health care transparency initiatives.
Under the direction of the Agency Secretary, AHCA is focused on advancing Governor DeSantis’ vision for Florida’s health care system to be the most cost-effective, transparent, and high-quality health care system in the nation.
The Medicaid program provides low-income families and individuals with access to health care.
If you have a desire to use your talent and skills at an organization that provides critical services to millions of individuals and families across the state, AHCA invites you to apply to become an essential member of our team.
As one of Florida’s leading state agencies, AHCA’s diverse workforce community of more than 1,400 employees is proud of its efforts to serve the people of Florida.
Agency Objectives:
HIGH QUALITY
Emphasizing quality in all that we do to improve health outcomes, always putting the individual first.
TRANSPARENT
Supporting initiatives that promote transparency and empower consumers in making well informed healthcare decisions.
COST-EFFECTIVE
Leveraging Florida’s buying power in delivering high quality care at the lowest cost to taxpayers.
Position Overview:
This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire a Government Analyst I who desires to work to enhance the delivery of health care services through the Florida Medicaid Program. This position requires a candidate who is creative, flexible, innovative, and who will thrive in a fast-paced, team based work environment.
This position is located in the Bureau of Medicaid Data Analytics. Join Data Analytics as we gather, explore, and examine data to provide meaningful and impactful analysis that shapes the future of Florida Medicaid. As the Agency hub for analytics, reporting, and visualization, the Bureau of Medicaid Data Analytics examines critical aspects of Floridians’ health, health care services and costs, and is vital to managed care rate setting, health care economics, and health plan evaluation.
This position is responsible for providing consultive services to the Senior Management Analyst Supervisor. The incumbent in this position is responsible for the preparation and analysis of data for the Medicaid program. The incumbent will:
Prepare, develop, reconcile, and analyze data regarding Medicaid expenditures, and other data produced by the Agency for Federal reporting purposes. Actively ensure data integrity, accuracy, identify discrepancies and participate in peer review process.
Conduct quarterly internal reviews of expenditures data for all quarterly CMS 64 data in preparation for PERM (Payment Error Rate Measurement) audits with the Bureau of Financial Services or any other expenditure reviews assigned by Management. Prepare and conduct Analysis for the CMS 372 data reporting. Prepare, review and analyze data for reporting with the Florida Health Care Connections (FX) Enterprise Data Warehouse (EDW).
Serve on committees and teams in unit assigned projects, assist with the review of PERM (Payment Error Rate Measurement) audits with the Bureau of Financial Services when inquiries are received from the Bureau of Medicaid Quality PERM Coordinator or CMS. Assist with audit research and coordination of data as it relates to PERM inquiries. As well as assisting the Bureau of Financial Services with the preparation of responses for financial expenditure audit findings that will be routed to MDA management review before forwarding response to the PERM Coordinator
Maintain up-to-date knowledge concerning the Florida Medicaid Program, including Florida State Plan for Medicaid, Florida Statutes, Florida Administrative Code, pertinent Federal laws and regulations, and FX EDW.
Review of legislative bills and amendments to identify issues that would affect Medicaid waivers; and ensure timely submission of review results to the Unit Manager. Maintain knowledge of the Health Information Portability and Accountability Act (HIPPA) complaint regulations, including medical procedural and diagnosis codes, electronic claim submission formats and proper security of Protected Health Information (PHI). Participate in continuing education of Medicaid and other Agency functions.
Provide assistance in responding to inquiries and external requests related to Federal Reporting. Keep electronic documentation on CMS reporting and data analysis.
Perform other related duties and responsibilities at the direction of the Unit Manager or their designee.
This is an anticipated vacancy.
This position is not a remote or telework position.
Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:
• State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options;
• Flexible Spending Accounts;
• State of Florida retirement options, including employer contributions;
• Generous annual and sick leave benefits;
• 9 paid holidays a year and 1 Personal Holiday each year;
• Career advancement opportunities;
• Tuition waiver for courses offered by Florida’s nationally ranked State University System;
• Training and professional development opportunities;
• And more!
For more information about the Bureau of Medicaid Data Analytics, please visit our website at http://ahca.myflorida.com/Medicaid/index.shtml.
Join us at the Agency for Health Care Administration in fulfilling our mission to provide “Better Health Care for all Floridians.”
KNOWLEDGE, SKILLS, AND ABILITIES
•Knowledge and familiarity with the Florida Medicaid Management Information system and other Florida Medicaid databases.
•Knowledge of methods of data collection and analysis.
•Advanced skill levels utilizing Excel.
•Keen ability to analyze, interpret data, strong research skills and attention to details for the purpose of Medicaid Federal reporting purposes.
•Ability to work with large data sets, preferably health care data.
•Ability to collect, evaluate, and analyze data to develop recommendations and solve problems.
•Ability to organize electronic notes and document processes.
•Ability to communicate technical concepts effectively.
•Ability to organize data into logical format for presentation in reports, documents, and other written materials, in both technical and non-technical formats.
•Ability to multi-task work in a fast-paced environment and follow through on assignments; Ability to solve problems and make decisions.
•Ability to coordinate projects and meetings.
•Ability to establish and maintain effective working relationships with others.
•Ability to work well both independently and with others.
MINIMUM QUALIFICATIONS REQUIREMENTS
•1 year of experience in health care economics or analysis.
•1 year of experience of data analysis review, as it relates to compiling and composing of findings.
•1 year of experience utilizing Excel, conducting statistical and data analysis.
•Additional experience working with large data sets can substitute for specific health care data experience.
•A bachelors’ degree in data analytics, mathematics, statistics, or related field can substitute for one year of professional experience is preferred.
LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS
N/A
CONTACT: DIAN THOMPSON 850-412-4098
BACKGROUND SCREENING
It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S. No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency. Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.
